Gingivitis influences oral health-related quality of life in adolescents: findings from a cohort study

Abstract

<jats:p>ABSTRACT: Introduction: Oral health-related quality of life (OHRQoL) is affected by different clinical conditions. The aim of this study was to evaluate the impact of gingivitis on OHRQoL in adolescents. Methodology: This cohort study consisted of a random sample of 1,134 schoolchildren enrolled during 2012, in Santa Maria, Brazil. After two years, 743 adolescents were follow-up (response rate: 65.5%). Clinical, socioeconomic and OHRQoL data were collected. OHRQoL was assessed by the short Brazilian version of the Child Perceptions Questionnaire 11-14 (CPQ11-14), and gingival bleeding through Community Periodontal Index. Gingivitis was considered with the presence of 15% or more bleeding sites. Poisson regression models were used to evaluate the association between gingivitis and overall and domain-specific CPQ11-14 scores. Prevalence of gingivitis at baseline was considered the main predictor for the OHRQoL at follow-up. Results: Gingivitis at baseline was associated with higher overall CPQ 11-14 score (RR = 1.07; 95%CI 1.01 - 1.14), and emotional well-being (RR = 1.17; 95%CI 1.04 - 1.31), independently of other oral conditions and socioeconomic variables. Conclusions: The findings indicate that gingivitis negatively impacts the adolescents’ OHRQoL. Moreover, gender, maternal schooling and household income were also associated with OHRQoL.</jats:p>

Condições de saúde bucal de adolescentes em situação de vulnerabilidade social: revisão de literatura

“…Todavia, por se tratar de uma doença multifatorial, é necessário considerar a presença de outros fatores de risco, como alterações sistêmicas, comportamentais e socioeconômicas do adolescente. Ortiz et al, (2020) relataram que a gengivite contribui, de forma negativa, na qualidade de vida dos adolescentes, afetando o comportamento psicossocial desses indivíduos, prejudicando suas relações sociais e autoestima. No estudo, os autores demonstraram que vermelhidão e inchaço das gengivas são os fatores que muito incomodam os adolescentes, pois por meio do sorriso, essa condição fica bastante evidenciada.…”

“…Além disso, existe ainda a presença das má-oclusões, que, por meio da pesquisa realizada no o estudo da SB Brasil de 2004, foi constatado que cerca de 58% da população brasileira, apresentava algum problema de oclusão, onde, desse percentual, 32% eram adolescentes acometidos por condições severas e em alguns casos, incapacitantes. Já no estudo de 2010, essa porcentagem reduziu alcançando números de 17,5% dos mesmos parâmetros (ORTIZ et al, 2020). Rebouças et al, (2017), complementam, afirmando que o maior fator de risco da má-oclusão é a perda dentária, pois quando essa perda acorre de forma precoce, as migrações dentárias acontecem e alteram a oclusão dos indivíduos.…”

Medicinal Plants Used as an Alternative to Treat Gingivitis and Periodontitis

“…However, the accurate pathways for periodontitis from a preestablished infection in gingivitis are not entirely clear. Investigators have confirmed that some pathological measures are tied together with active commencement and declaration of inflammation, a molecular mechanism in periodontal tissues like other parts of the body [ 6 ]. The highly active inner epithelial layers in front of the dental surface do not have adequate keratinization, and also the turnover pace of the gingival epithelial film is very high.…”

Treatment of gingivitis is associated with reduction of systemic inflammation and improvement of oral health‐related quality of life: A randomized clinical trial

“…Equally, there is a significant body of evidence indicating that the presence of gingivitis would affect oral health-related quality of life (OHRQoL) focusing, however, mainly on children/adolescents (Tsakos et al, 2006;Krisdapong et al, 2012;Tomazoni et al, 2014;Ortiz et al, 2020;Singh et al, 2020) with no information on the impact of treatment.…”

“…A study conducted on systemically healthy volunteers demonstrated a significant longitudinal increase in systemic inflammatory markers (i.e., high‐sensitivity C‐reactive protein [hs‐CRP] and interleukin‐6 [IL‐6]) throughout the 21‐day period of experimental gingivitis induction, but no information on the effect of the treatment is available (Eberhard et al, 2013). Equally, there is a significant body of evidence indicating that the presence of gingivitis would affect oral health‐related quality of life (OHRQoL) focusing, however, mainly on children/adolescents (Tsakos et al, 2006; Krisdapong et al, 2012; Tomazoni et al, 2014; Ortiz et al, 2020; Singh et al, 2020) with no information on the impact of treatment.…”